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General NPI Number Information
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NPI Number | 1356109136
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Entity Type | Individual
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Provider Name | MRS. SHAUNA CAPPETTI
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Gender | Female
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 4 CENTURY DR STE 100
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City | PARSIPPANY
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State | NJ
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Zip | 07054-4606
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Country | US
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Telephone | 732-982-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 67 RANDOLPH PL
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4809
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Country | US
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Telephone | 631-894-8231
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37AC00588900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC01038800
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License Number State | NJ
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